Individual
MS. SUSAN M GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351491
—
MA
01
—
1293396
FALLON
MA
01
—
131025
CONNECTICARE, INC.
MA
01
—
500016108
RAILROAD MEDICARE
MA
01
—
NP2352
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/29/2006
Last updated
06/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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